Individual
MRS. VANESSA RUSSELL FRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
6144 AIRPORT BLVD, MOBILE, AL 36608-3143
(251) 476-5050
(251) 450-2770
Mailing address
PO BOX 86144, MOBILE, AL 36689-6144
(251) 476-5050
(251) 450-2770
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1958
AL
Other
Enumeration date
05/02/2006
Last updated
07/08/2007
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